Helena High School Transcript Request Form - Shelby County Schools printable pdf download

Helena High School Transcript Request Form - Shelby County Schools

Helena High School

Transcript Request Form

__________________________________________________________

____________

Last Name

First Name

(Maiden Name)

Date of Birth

Send to

(name of college and complete address required to process this request)

________________________________________________________________

Additional schools/colleges listed on the back of this form

Please attach transcript request fee.

____ $3.00 (one copy)

____ $10.00 (unlimited copies)

____ Student previous paid for unlimited copies

TEST SCORE POLICY

Standardized test scores are not included as a part of a student’s transcript. Students will need to

contact the testing agency directly to have test scores submitted to a college. It is the student’s

responsibility to ensure that test scores have been submitted to each college to which he/she applies.

It is with my full knowledge and consent that I authorize the release and/or exchange of my

academic records with the schools, universities, or scholarship agencies listed above.

__________________________________________________________

____________

Student Signature

Date

__________________________________________________________

____________

*Parent/Guardian Signature

Date

* If a student is 18 years or older, he/she must give permission instead of parent or guardian.

Sec. 513, Title V. Public Law 93-380

***ALLOW 7-10 BUSINESS DAYS FOR REQUEST TO BE PROCESSEED***

Helena High School Transcript Request Form - Shelby County Schools